Permit CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELC2007 - 00603
DATE ISSUED: 8/28/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S136AD-04000
SITE ADDRESS: 11511 SW PACIFIC HWY ZONING: C - G
SUBDIVISION: PACIFIC TERRACE LOT : 007 JURISDICTION: TIG
PROJECT: GROW AMERICA
Project Description: Running conduit through attic from service panel to outlet for wall sign.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG: 0
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HM/ SVC/ FDR: 601 +amps -1000 volts: MINOR LABEL (10):
SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: W /SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
NORRIS & STEVENS T & T ELECTRIC
621 SW MORRISON STE 800 4120 SE INTERNATIONAL WAY
PORTLAND, OR 97205 SUITE A -105
MILWAUKIE, OR 97222
Phone: 503 - 223 - 3171 Contact #: PRI 503 - 652 -7610
FAX 503 - 652 -7612
FEES
Description Date Amount Reg #: ELL' 3 -605C
IELPRMTI ELC Permit 8/28/2007 $46.85 LIC 161187
[TAXI 8% State Surcharge 8/28/2007 $3.75 SUP 5176S
Total $50.60 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All
work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for
more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in
OAR 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By: " /J /jJ� /� Permittee Signature: r) / r� lT 7
� 1
OWNER INSTALLATION ONLY fy
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
IIII 27 2007 8:14PM HP LASERJET FAX 503 652 7612 p.
aectrical Permit Appli ' p n,t= -; FOR OFFICE USE ONLY
City of Tigard ' �f Received O
8
4197 Date/B t Pern»t No.: � '/� ,/
13125 SW Hail Blvd., Tigard, OR 97223 ; '' =",
Phone: 503.639.4171 Fax: 503.598.1960 ] O � I Ir''Ij Plan Review
Date/By: Other Permit:
Inspection Line: 503.639.4175 C ,5 ti , \, � . 1m. Date Ready /By: El See Page 2 for
Internet www Ct 11 g HMO ard or.us . a Notitied/Metlwd: iS Supplemental ( nforms
a r D. fiai �
*IrIO WQRIi: 3 •, o g ,
❑ New construction ❑ Addition /alteration /replacement Please check all that apply:
❑ Demolition L Other: ❑Service over 225 amps, comm'l ❑Hazardous location
- A°i Service over 320 amps — rating Buildngover 10.00(
G' CAP cGONS;'! * i ° „ :' ['Service
1- and 2- family dwellings 4 or more new resid
❑ 1- and 2- family dwelling commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structur
❑ Multi family r3 Mas[er builder ❑ OBuilding over three stories ['Feeders, 400 amps c
l Uther: ❑occupant load over 99 persons ❑Manufactured strum t !..; :' ., ....$ ]V;N 'IQN.{kN fl ','F'101Xf :.. ❑Egress/tightingplan RV park
Job no.; 1 Job site address: / /37/ r(„ ' ❑Health -care facility ❑Othe
�[ t ��C y r:
Submit 7 sets of plans with any of the above"
City /State /ZtP: -� � a t , Z 7 p 72 3 / The above are not applicable to temporary construction sere
E." '$fa)
Suite /bldg. /apt. no.: I Project aamei� - ti e T) 77 t n neseripuon I Qtr I Fee. ( Total
Cross street/directions to job site: New residential single- or multi - family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15
Subdivision: I Lot no.: Ea. add'I 500 sq. ft. or portion _ 33.40
Limited energy, residential 75.00
Tax map /parcel no.: • d energy. non - residential 75.00
[>ll f?>� VulA16� Limited
r; ... ¢,y ". . ,. Each manufactured or modular '
j///; '
, dwelling. service and /or feeder _ 90.90
ek St °J^^ Services or feeders installation, alteration, and /or relocat
T / 200 amps or less 80.30
4 :a it*O Ii* F . ".. 1 t 4 hi`13�Ei%PfJ
: 201 amps to 400 amps 106.85
Name; q�
401 amps to 600 amps 160.60
_.. Cr?? L^ `]Lt-i& m4 is 601 amps to 1,000 amps 240.60
Address: / /5 // CI"' Rr'‘A-;' x / 4..s, Over 1,000 amps or volts 454.65
9 Reconnect only 66.85
City /State/ZIP: � Qf/ 9Ja v�3 Temporary services or feeders Installation, alteration, an
Phone: ( s, ) 9 37_ /d7 Fax: ( ) n
200 a amps rclo
or less 66.85
Owner installation: This installation is being made on properly that I own which is not 201 amps to 400 amps 100.30
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670. and 701. 401 amps to 600 amps 133.75
Owner signature Date: Branch circuits— new, alteration, or extension, per panel
.. 0 API'LI !AI'4't'': ' f G'0'[S"> t`4 .R6t l;i' A. Fee for branch circuits with
service or feeder fee, each
Business name: branch circuit 6.65
B. Fee for branch circuits
Contact name: wit /rout service or feeder fee. �Jf�
first branch circuit 46.85 —itL/ ,
Address: .
Each add'I branch circuit 6.65
City /State /ZIP: Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40
Phone: ( ) I Fax: ( ) Sign or outline lighting
E -mail: Signal circuit(s) or limited-
' ;.:4 ;:; t - UNTRiAt~TQR , ' energy panel, alteration, or
Business name: T &.T Electrical, LLC
extension. Describe: Page 2
Address: 4120 SE International Way, Suite A -105 Each additional inspection over allowable in any oldie ab
Per inspection 62.50
City /State /ZIP: Milwaukie, OR 97222 Investigation per hour (I Iv inin) 62.50
Phone: (503) 652 -7610 Fax: (503) 652 -7612 Industrial plant per hour 73.75 1
CCB Lic.: 161187 I Electrical Lic.: 3-605C Suprv. Lic.: 5176S Subtotal 1
Suprv. Electrician signature, required:77 7-----''.
Plan review (25 %of permit fee) ..
State surcharge (8%ofpermit fee)
Print name: Date: -
TOTAL PERMIT FEE
Authorized Signature:, ��� This permit application expires If permit Is net obtained within 1
days after it has been accepted as complete
` Print Warne: Date: a 1 07 • Fee methodology set byTri•County Building Industry Service Board
• Number of inspections per permit allowed.
i:\ Buildiaa \Pern,iiAELC- PeemitApp.doe 11/03 440.4411T(Ie:Q'LCOM/WBa
A' 58-.
CITY OF TIGARD
BUILDING DIVISION ' ' PERMIT #: FI G2007 00603
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 812812007
Phone: (503) 639 -4171 "r' i
Inspection Requests (24 Hrs.): (503) 639 -4175 '"f L
INSPECTION WORKSHEET FOR DATE: 9/2912007 TIME: 7:OOAM PAGE: 50
SITE ADDRESS: 11511 SW PACIFIC I_IWY CLASS OF WORK:
SUBDIVISION: PACIFIC TERRACE LOT #: 007 TYPE OF USE:
PROJECT NAME: GROW AMERICA
DESCRIPTION: Running conduit through attic from service panel to outlet for wall sign.
OWNER: NORRIS & STEVENS, PHONE #: 503.223.317i
CONTRACTOR: T & r ELECTRIC PHONE #: 503-651 -7610
Inspection Request Scheduled For: Date: 8/29/2007 Pour Time:
Code # Inspection Description - . • •• # Contact # Message
140 Sign installation 054780.01 503 -652 -7610 N
Corrections /Comments /Instructions: 201 - 66 L� `q
ie . c___/) / A/6 Z-nC/P 9 Pa l L
- /
tz 41•41r eF' 6ulLWIYY-
tour \ ■ ; • a . ,, ,
• P.. S ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
•j AIL ❑ CALL FOR INSPECTION 111 ADDITIONAL FEES ASSESSED
..- •
. Inspector: 6 ' )i.4 ( Date: 11 I /l Phone #: (503) 718-
CITY O f TI GA R® ELECTRICAL PERMIT
.COMMUNITY DEVELOPMENT °
PERMIT #: ELC2007 00603
DATE ISSUED: 8/28/2007
TIC1\ D: 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S 136AD -04000
SITE ADDRESS: 11511 SW PACIFIC HWY ZONING: C -G
SUBDIVISION: PACIFIC TERRACE LOT : 007 JURISDICTION: TIG
PROJECT: GROW AMERICA
Project Description: Running conduit through attic from service panel to outlet for wall sign.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG: 0
LIMITED ENERGY: 401 - 600 amp: SIGNAL /PANEL:
MANF HM/ SVC/ FDR: 601 +amps -1000 volts: MINOR LABEL (10):
SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: W /SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
NORRIS & STEVENS .. T & T ELECTRIC
621 SW MORRISON STE 800 4120 SE INTERNATIONAL WAY
PORTLAND, OR 97205 SUITE A -105
MILWAUKIE, OR 97222
Phone: 503 - 223 -3171 Contact #: PRI 503 - 652 -7610
FAX 503 - 652 -7612
FEES
Description Date Amount Reg #: ELE 3 - 605C
[ELPRMT] ELC Permit 8/28/2007 $46.85 LIC 161187
[TAX] 8% State Surcharge 8/28/2007 $3.75
SUP 5176S
Total $50.60 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All
work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for
more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in
OAR 952 - 001 -0010 through OAR 952- 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By: ' qji /yj1 J //� / Permittee Signature: S J- 1Jy/
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
INSPECTOR'S SIGNATURES ARE NOT,
Inspections Required for: eLL7,0Q9-_-co REQUIRED ON GREEN INSPECTION CARD.
✓ Code Inspection Description PASS Date. By Tv' i Code .I Inspection Description ' PASS Date By 1
BUP - Building Permit ELC - Electrical Permit _ _
405 Excavation 105 Underground /slab cover
410 Fill 110 Temporary electrical service
415 Grading 115 Electrical service
205 Footing 120 Electrical rough -in
805 MFG - Structure grading /footing X 125 Wall cover
210 Foundation walls )/ 130 Ceiling cover
215 Footing drain 135 Low voltage
220 Slab 140 Sign installation
310 Crawl drain 145 A/C or heating unit circuit
225 Post /beam structural 150 Hot tub /spa /pool
230 Underfloor insulation 195 , Misc. inspection:
235 Shear walls /anchors • x 199 Electrical final —1
240 Exterior sheathing
245 Firewall _
250 Roof nailing ELR - Restricted Energy Permit
255 Wtr proofing basement walls 135 Low voltage
260 Tilt -up panel 195 Misc. inspection:
265 Masonry 199 Electrical final
270 Reinforcing steel (rebar)
275 Framing
810 MFG- Structure set -up MEC - Mechanical Permit
280 Insulation 605 Post /beam mechanical
285 Drywall nailing _ 610 Gas line
287 Suspended ceiling 615 Mechanical rough-in
295 Misc. inspection: 620 • H piping
__ 899 MFG - Structure final —
_ 625 Duct work _
498 Grading d rang final 630 I Fire amper _
299 Final inspection 635 Smoke detector shutdown
640 Exhaust hood
695 Misc. inspection:
699 1 Mechanical final _
BUP - Fire Protection System Permit
L . 905 Sprinkler underfloor /slab PLM - Plumbing Permit
910 S.rinkler rou h -in
915 Fire alarm rough -in _ 305 Plumbing underslab I
920 Su ).ression tn. test — 310 Crawl dridn
995 Misc. inspection: 315 _Post/beam plumbing —
998 Alarm final , 320 Plumbing rough -in
999 S.rinkler final 322 Shower pan
330 Water service
335 Rain drain
340 Storm drain
SIT - Site Work Permit 505 Sanitary sewer —'
405 Excavation 345 Culvert catch basin
410 Fill 350 Septic tank
415 Grading _ 395 Misc. inspection:
205 Footing I . 399 Plumbing final
210 Foundation walls
215 Footing drain _
420 Sprinkler supply lines SWR - Sewer Permit
495 Misc. inspection: I 505 -I Sanitary sewer
498 Grad final 595 I Misc. inspection: r
499 Final inspection , 599 Final inspection
I: \Building \Forms \InspCard- AOP- Biank.doc 02/02/07